Abstract
The medical evaluation of patients considering prosthodontic treatment is a vital step in the treatment planning. The prosthodontist should be able to assess the inherent risks associated with the treatment of patients with systemic conditions. Many factors are associated with evaluating the patient's health status and risk including the patient's current and past medical and dental history, current and past use of medications, type of treatment, length of treatment, invasiveness of treatment, and degree of urgency of treatment. In this article, some of the systemic diseases like arthritis, cardiovascular diseases, endocrine disorders, hematologic and oncologic disease, neurologic disorders, bone disorders, pulmonary diseases, liver diseases, and chronic kidney disease that commonly affect aged individuals are reviewed. The prosthodontic considerations that should be taken care of while managing patients with these systemic conditions will also be discussed.
Highlights
Older adults with chronic medical conditions are increasing in number as dental patients
Some of the systemic diseases that commonly affect the aged individuals are reviewed. General considerations of these systemic disorders along with the prosthodontic management modifications needed for providing adequate oral health care will be discussed
(iii) Patients with prosthetic joints may require prophylactic antibiotics before surgical procedures like dental implant placement (iv) ere are various problems associated with prosthetic rehabilitation in cases with rheumatoid arthritis of temporomandibular joints (TMJs), which include change in occlusion and difficulty in recording jaw relation. erefore, unloading appliances or provisional construction before the definitive treatment is beneficial
Summary
Older adults with chronic medical conditions are increasing in number as dental patients. Orough evaluation followed by risk assessment should be done to determine whether a planned procedure can be safely implicated for successful dental management of a medically compromised patient while performing dental treatments. Some of the systemic diseases (arthritis, cardiovascular diseases, endocrine disorders, hematologic and oncologic diseases, neurologic disorders, bone disorders, pulmonary diseases, liver diseases, and chronic kidney disease) that commonly affect the aged individuals are reviewed. General considerations of these systemic disorders along with the prosthodontic management modifications needed for providing adequate oral health care will be discussed
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